MRS. JEENA JACOB


Address: 916 Wynnewood Shp Ctr, Dallas, TX 75224-1833
Phone: 2149417611

MRS. JEENA JACOB (NPI# 1073893731) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1073893731
Entity Type Individual
Full Name MRS. JEENA JACOB
Credential PNP
Practice Address 916 Wynnewood Shp Ctr
Dallas
TX 75224-1833
Mailing Address 2329 Amesbury Dr
Mesquite
TX 75150-5805
Practice Telephone 2149417611
Mailing Telephone 2144050724
Enumeration Date 2011-08-25
Last Update Date 2011-08-25
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0200X Nurse Practitioner
Specialization: Pediatrics
720013 TX Physician Assistants & Advanced Practice Nursing Providers

Other Providers JEENA JACOB

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1114947066 Jeena George Jacob Psychologist 1173 Ancient Oaks Ct, Bartlett, IL 60103-1711 2006-07-20
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1457510141 Jeena S. Jacob Anesthesiology 1 Gustave L Levy Pl, Anesthesiology - Box 1010, New York, NY 10029-6574 2008-06-06
1538354261 Jeena Mary Jacob Family Medicine 801 Ostrum St, Bethlehem, PA 18015-1000 2007-09-06

Office Location

Street Address 916 WYNNEWOOD SHP CTR
City DALLAS
State TX
Zip Code 75224-1833

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1972133999 Bra'sheika Renee Johnson Pharmacist 752 Wynnewood Village S/c, Dallas, TX 75224 2020-01-17
1821523317 Hao Anh Dang Dentist 2221 W Ledbetter Dr Ste 100, Dallas, TX 75224 2017-04-22
1568820009 Ashley Nicole Green Dentist 2221 W. Ledbetter Drive, Suite 100, Dallas, TX 75224 2016-01-28
1194138867 Laurie Smith Licensed Vocational Nurse 3622 S Tyler St, Dallas, TX 75224 2014-06-10
1346667474 Sherry Diann Flewellen-ervin Counselor 501 Wynnwood Village, Dallas, TX 75224 2014-03-26
1326381880 Mercy Housecall Physicians Group, LLC Clinic/Center 501 Wynnrwood Village, Ste 102a, Dallas, TX 75224 2013-04-03
1437416971 Masako Nishio M.d., P.a. Anesthesiology 2929 South Hampton Rd, Dallas, TX 75224 2012-04-23
1306119177 Truevision Eye Care P.a. Optometrist 911 Wynnewood Village, Dallas, TX 75224 2012-02-09
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Taxonomy Information

Taxonomy Code 363LP0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Pediatrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1598229510 Sara Klueber Nurse Practitioner 1935 Medical District Dr # C8.01, Dallas, TX 75235-7701 2019-01-23
1932671443 Allison Blazek Nurse Practitioner 1935 Medical District Dr # F3.214, Dallas, TX 75235-7701 2018-12-21
1124520291 Dalia K George Nurse Practitioner 7777 Forest Ln Ste C840, Dallas, TX 75230-2594 2018-03-06
1740790849 Madeline Claire Crank Nurse Practitioner 7777 Forest Ln Ste C742, Dallas, TX 75230-6862 2017-10-03
1215480355 Ashley Smith Nurse Practitioner 8325 Walnut Hill Ln# 225, Dallas, TX 75231 2016-07-25
1316349962 Jennifer Tracy Nurse Practitioner 2350 N Stemmons Fwy Ste 4300mcf4, Dallas, TX 75207-2700 2014-09-25
1013334879 Sneha Patel Nurse Practitioner 4830 Cedar Springs Rd, Unit 3, Dallas, TX 75219-1366 2014-03-18
1720415748 Heidi Nicole Pettit Nurse Practitioner 1935 Medical District Dr # E2300, Dallas, TX 75235-7701 2013-10-04
1821357088 Robyn Joy Haynes Nurse Practitioner 1935 Medical District Dr # D2.04, Dallas, TX 75235-7701 2012-05-09
1205102589 Ashley Caroline Eckstein Nurse Practitioner 8440 Walnut Hill Ln Ste 540, Dallas, TX 75231-3824 2012-03-30
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Competitor

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City DALLAS
Zip Code 75224

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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